Alignment with Bologna guidelines improves outcomes in SBO patients

Compliance with the World Society of Emergency Surgery Bologna guidelines significantly enhanced outcomes for patients with adhesive small bowel obstruction (SBO). Among 982 patients, those receiving successful non-operative management (NOM) had a mean hospital stay of 5.3 days, while surgical interventions resulted in longer stays. Notably, optimal outcomes were achieved in 61% of successful NOM cases compared to only 16% in other treatment strategies. Only 17.2% of cases fully adhered to guidelines, illustrating the need for improved compliance.